Carolyn M Reeder PHD PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CAROLYN M REEDER PHD PC

Practice address

10 W Phillip Road
Suite 124
Vernon Hills, IL 60061

Phone

(847) 932-4030

Fax

(847) 996-1020

NPI assigned

Aug 21, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carolyn M Reeder, PHDNPI 1023145349

Title

President Secretary

Phone

(847) 932-4030

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn M. Reeder, PH.D.

  • Psychologist
  • Crystal Lake, IL
  • NPI 1023145349
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1093821282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP ROAD",
            "address_2": "SUITE 124",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "847-932-4030",
            "fax_number": "847-996-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP ROAD",
            "address_2": "SUITE 124",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "847-932-4030",
            "fax_number": "847-996-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN M REEDER PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT SECRETARY",
        "authorized_official_telephone_number": "847-932-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007116087",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "265524",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH NETWORK",
            "identifier": "346258",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "468628",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9139501",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valeria Calderon
• Fatima Campos
• Patricia Cantieri, R. PH.
• Feliece Carabello, BA
• Stephen Thomas Carlson, LCSW
• Alexis Carr
• Carrie Cicciu-Singer, PT Inc.
• Carrie Cicciu-Singer, PT Inc.
• Elisabeth Carrigg, LCPC
• Maria Cristina Guevara Castro, LCPC

• Psychologist in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.